Provider Demographics
NPI:1093942633
Name:MCKNIGHT, CAROLINE REMO (DO)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:REMO
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CAROLINE
Other - Middle Name:REMO
Other - Last Name:BONDOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1000 36TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4862
Mailing Address - Country:US
Mailing Address - Phone:772-567-4311
Mailing Address - Fax:772-794-1474
Practice Address - Street 1:1000 36TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4862
Practice Address - Country:US
Practice Address - Phone:772-567-4311
Practice Address - Fax:772-794-1474
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11622207R00000X
NJ25MB08602200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine